Psychop Rev Qs

Question 1

This subtype applies when the central theme of the individual’s delusion is that his or her spouse or lover is unfaithful.

Answer 1

Jealous type

Question 2

This subtype applies when the central theme of the delusion involves the individual’s belief that he or she is being conspired against, cheated, spied on, followed, poisoned or drugged, maliciously maligned, harassed, or obstructed in the pursuit of long-term goals.

Answer 2

Persecutory type

Question 3

This subtype applies when the central theme of the delusion involves bodily functions or sensations.

Answer 3

Somatic type

Question 4

A specifier of Delusional Disorder wherein they are clearly implausible, not understandable, and not derived from ordinary life experiences (e.g., an individual’s belief that a stranger has removed his or her internal organs and replaced them with someone else’s organs without leaving any wounds or scars).

Answer 4

With bizarre content

Question 5

Specifier indicating a time period in which the symptom criteria are fulfilled.

Answer 5

acute episode

Question 6

Specifier indicating a time period during which an improvement after a previous episode is maintained and in which the defining criteria of the dis- order are only partially fulfilled.

Answer 6

partial remission

Question 7

Specifier indicating a period of time after a previous episode during which no disorder-specific symptoms are present.

Answer 7

full remission

Question 8

A. Presence of one (or more) of the following symptoms. At least
one of these must be (1), (2), or (3):
1. Delusions.
2. Hallucinations.
3. Disorganized speech (e.g., frequent derailment or incoherence).
4. Grossly disorganized or catatonic behavior.
Note: Do not include a symptom if it is a culturally sanctioned response.
B. Duration of an episode of the disturbance is at least 1 day but less than 1 month, with eventual full return to premorbid level of functioning.
C. The disturbance is not better explained by major depressive or bipolar disorder with psychotic features or another psychotic dis- order such as schizophrenia or catatonia, and is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.

Answer 8

Brief Psychotic Disorder

Question 9

A. Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated). At least one of these must be (1), (2), or (3):
1. Delusions.
2. Hallucinations.
3. Disorganized speech (e.g., frequent derailment or incoherence).
4. Grossly disorganized or catatonic behavior.
5. Negative symptoms (i.e., diminished emotional expression or avolition).
B. An episode of the disorder lasts at least 1 month but less than 6 months. When the diagnosis must be made without waiting for recovery, it should be qualified as “provisional.”
C. Schizoaffective disorder and depressive or bipolar disorder with psychotic features have been ruled out because either 1) no major depressive or manic episodes have occurred concurrently with the active-phase symptoms, or 2) if mood episodes have occurred during active-phase symptoms, they have been present for a minority of the total duration of the active and residual periods of the illness.
D. The disturbance is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.

Answer 9

Schizophreniform Disorder

Question 10

A. Two (or more) of the following, each present for a significant portion of time during a 1-month period (or less if successfully treated). At least one of these must be (1), (2), or (3):
1. Delusions.
2. Hallucinations.
3. Disorganized speech (e.g., frequent derailment or incoherence).
4. Grossly disorganized or catatonic behavior.
5. Negative symptoms (i.e., diminished emotional expression
or avolition).
B. For a significant portion of the time since the onset of the disturbance, level of functioning in one or more major areas, such as work, interpersonal relations, or self-care, is markedly below the level achieved prior to the onset (or when the onset is in childhood or adolescence, there is failure to achieve expected level of interpersonal, academic, or occupational functioning).
C. Continuous signs of the disturbance persist for at least 6 months. This 6-month period must include at least 1 month of symptoms (or less if successfully treated) that meet Criterion A (i.e., active- phase symptoms) and may include periods of prodromal or residual symptoms. During these prodromal or residual periods, the signs of the disturbance may be manifested by only negative symptoms or by two or more symptoms listed in Criterion A present in an attenuated form (e.g., odd beliefs, unusual perceptual
experiences).
D. Schizoaffective disorder and depressive or bipolar disorder with psychotic features have been ruled out because either 1) no major depressive or manic episodes have occurred concurrently with the active-phase symptoms, or 2) if mood episodes have occurred during active-phase symptoms, they have been present for a minority of the total duration of the active and residual periods of the illness.
E. The disturbance is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.
F. If there is a history of autism spectrum disorder or a communication disorder of childhood onset, the additional diagnosis of schizophrenia is made only if prominent delusions or hallucinations, in addition to the other required symptoms of schizophrenia, are also present for at least 1 month (or less if successfully treated).

Answer 10

Schizophrenia

Question 11

A. An uninterrupted period of illness during which there is a major mood episode (major depressive or manic) concurrent with Criterion A of schizophrenia.
Note: The major depressive episode must include Criterion A1: Depressed mood.
B. Delusions or hallucinations for 2 or more weeks in the absence of a major mood episode (depressive or manic) during the lifetime duration of the illness.
C. Symptoms that meet criteria for a major mood episode are present for the majority of the total duration of the active and residual portions of the illness.
D. The disturbance is not attributable to the effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.

Answer 11

Schizoaffective Disorder

Question 12

A. The clinical picture is dominated by three (or more) of the following symptoms:

1. Stupor (i.e., no psychomotor activity; not actively relating to environment).
2. Catalepsy (i.e., passive induction of a posture held against gravity).
3. Waxy flexibility (i.e., slight, even resistance to positioning by examiner).
4. Mutism (i.e., no, or very little, verbal response [exclude if known aphasia]).
5. Negativism (i.e., opposition or no response to instructions or external stimuli).
6. Posturing (i.e., spontaneous and active maintenance of a posture against gravity).
7. Mannerism (i.e., odd, circumstantial caricature of normal actions).
8. Stereotypy (i.e., repetitive, abnormally frequent, non-goal- directed movements).
9. Agitation, not influenced by external stimuli.
10. Grimacing.
11. Echolalia (i.e., mimicking another’s speech).
12. Echopraxia (i.e., mimicking another’s movements).

Answer 12

Catatonia

Question 13

(i.e., no psychomotor activity; not actively relating to environment).

Answer 13

Stupor

Question 14

(i.e., passive induction of a posture held against gravity)

Answer 14

Catalepsy

Question 15

(i.e., slight, even resistance to positioning by examiner)

Answer 15

Waxy flexibility

Question 16

(i.e., no, or very little, verbal response [exclude if known aphasia])

Answer 16

Mutism

Question 17

(i.e., opposition or no response to instructions or external stimuli)

Answer 17

Negativism

Question 18

(i.e., spontaneous and active maintenance of a posture against gravity)

Answer 18

Posturing

Question 19

(i.e., odd, circumstantial caricature of normal actions)

Answer 19

Mannerism

Question 20

(i.e., repetitive, abnormally frequent, non-goal- directed movements)

Answer 20

Stereotypy

Question 21

(i.e., mimicking another’s speech)

Answer 21

Echolalia

Question 22

(i.e., mimicking another’s movements)

Answer 22

Echopraxia

Question 23

A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least 1 week and present most
of the day, nearly every day (or any duration if hospitalization is necessary).

Answer 23

Manic Episode

Question 24

B. During the period of mood disturbance and increased energy or activity, three (or more) of the following symptoms (four if the mood is only irritable) are present to a significant degree and represent a noticeable change from usual behavior:

1. Inflated self-esteem or grandiosity.
2. Decreased need for sleep (e.g., feels rested after only 3 hours of sleep).
3. More talkative than usual or pressure to keep talking.
4. Flight of ideas or subjective experience that thoughts are racing.
5. Distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli), as reported or observed.
6. Increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation (i.e., purposeless non-goal-directed activity).
7. Excessive involvement in activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments).

C. The mood disturbance is sufficiently severe to cause marked impairment in social or occupational functioning or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.
The episode is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment) or to another medical condition.

Answer 24

Manic Episode

Question 25

At least one lifetime manic episode is required for the diagnosis

Answer 25

Bipolar I Disorder

Question 26

A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least 4 consecutive days and present most of the day, nearly every day.

Answer 26

Hypomanic Episode

Question 27

Episodes that are common in bipolar I disorder but are not required for the diagnosis of bipolar I disorder

Answer 27

Hypomanic episodes

Question 28

A. Criteria have been met for at least one manic episode (Criteria A–D under “Manic Episode” above).
B. The occurrence of the manic and major depressive episode(s) is not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder.

Answer 28

Bipolar I Disorder

Question 29

A. Criteria have been met for at least one hypomanic episode (Criteria A–F under “Hypomanic Episode” above) and at least one major depressive episode (Criteria A–C under “Major Depressive Episode” above).
B. There has never been a manic episode.
C. The occurrence of the hypomanic episode(s) and major depressive episode(s) is not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder.

Answer 29

Bipolar II Disorder

Question 30

A. For at least 2 years (at least 1 year in children and adolescents) there have been numerous periods with hypomanic symptoms that do not meet criteria for a hypomanic episode and numerous periods with depressive symptoms that do not meet criteria for a major depressive episode.
B. During the above 2-year period (1 year in children and adolescents), the hypomanic and depressive periods have been present for at least half the time and the individual has not been without the symptoms for more than 2 months at a time.
C. Criteria for a major depressive, manic, or hypomanic episode have never been met.
D. The symptoms in Criterion A are not better explained by schizo-affective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder.
E. The symptoms are not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition (e.g., hyperthyroidism).
F. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Answer 30

Cyclothymic Disorder

Question 31

This category applies to presentations in which symptoms character- istic of a bipolar and related disorder that cause clinically significant distress or impairment in social, occupational, or other important ar- eas of functioning predominate but do not meet the full criteria for any of the disorders in the bipolar and related disorders diagnostic class.

Answer 31

Other Specified Bipolar and Related Disorder

Question 32

a pattern of distrust and suspiciousness such that others’ motives are interpreted as malevolent.

Answer 32

Paranoid personality disorder

Question 33

Specifier if symptoms occur in response to events that, singly or together, would be markedly stressful to almost anyone in similar circumstances in the individual’s culture

Answer 33

With marked stressor/s

Question 34

Specifier if symptoms do not occur in response to events that, singly or together, would be markedly stressful to almost anyone in similar circumstances in the individual’s culture

Answer 34

Without marked stressor/s

Question 35

Specifier if onset is during pregnancy or within 4 weeks postpartum

Answer 35

With postpartum onset

Question 36

When the diagnosis must be made without waiting for recovery, it should be qualified as ____

Answer 36

Provisional

Question 37

Other term for Factitious Disorder

Answer 37

Munchausen Syndrome

Question 38

• Symptoms produced by deliberate induction

- Desire to assume the “patient role”

Answer 38

Factitious disorder

Question 39

• loss or change in body functioning
• psychological factors associated with symptom
• not intentionally produced
• cannot be explained by medical condition/substance

Answer 39

Conversion Disorder